| NPI | 1750400727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 009688) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY 6206) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |