| NPI | 1770600041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 019061) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY15684) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2022-12-21 |