| NPI | 1568540698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS015046) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 013213-1) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2019-11-30 |