| NPI | 1780978395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 018416) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 27835) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2020-08-27 |