| NPI | 1437550571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: NY 015812) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 015812-1) |
| 103TC0700X Psychologist Clinical (Licence: NY 015812) | |
| 103TS0200X Psychologist School (Licence: NY 015812) | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2023-01-25 |