| NPI | 1730502329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 021182) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TH0004X Psychologist, Health | |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2018-03-26 |