| NPI | 1558665190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 018880-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 7117) |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2018-07-12 |