| NPI | 1558523423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 026404) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY9825) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2024-04-15 |