| NPI | 1780980755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 3005) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NY 016035) |
| 103TC1900X Psychologist, Counseling (Licence: CT 3005) | |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2013-12-20 |