| NPI | 1447479753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 021917) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 28167) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2016-10-27 |