| NPI | 1639352016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 018505) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY8934) |
| Enumeration Date | 2007-12-09 |
| Last Update Date | 2020-05-26 |