| NPI | 1598968703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 4996) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 013322) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2025-05-12 |