| NPI | 1548528946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 017360-01) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 002743) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |