| NPI | 1518018795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0011406) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 017037) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2024-09-05 |