| NPI | 1609207232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 3427) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 017474) |
| Enumeration Date | 2013-12-08 |
| Last Update Date | 2023-06-28 |