| NPI | 1508031212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 9718) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 019664) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2022-02-15 |