| NPI | 1497427793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 023030) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: NY 023030) |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2021-10-04 |