| NPI | 1679764146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 016878) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 016878) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: NY 016878) | |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |