| NPI | 1508277898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 020437) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 020437) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2023-06-26 |