| NPI | 1588974760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 025493) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 010780-1) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2023-01-25 |