| NPI | 1497908321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 017165) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2023-07-31 |