| NPI | 1598921348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: NY 017723) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 017723) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NY 017723) | |
| 103TF0000X Psychologist Family (Licence: NY 017723) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2019-01-22 |