| NPI | 1477008423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 022636) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 2847) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2018-08-23 |