| NPI | 1467910901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 023250) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 30788) |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-07-03 |