| NPI | 1538382189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 005917) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 005917) |
| 103TC0700X Psychologist, Clinical (Licence: NY 005917) | |
| 103TS0200X Psychologist, School (Licence: NY 005917) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-30 |