| NPI | 1528248382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 18792) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 18792) | |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2023-07-06 |