| NPI | 1568790996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 018298-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 018298) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2023-02-15 |