| NPI | 1730514266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 020243) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 020243) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2024-12-18 |