| NPI | 1598048605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 020880) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL 10696) |
| Enumeration Date | 2011-09-25 |
| Last Update Date | 2024-10-01 |