| NPI | 1770782427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 012015) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2020-04-27 |