| NPI | 1780051169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 022213-01) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 022213-01) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2024-06-28 |