| NPI | 1659841328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 023705) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY P13833) |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2020-05-12 |