| NPI | 1790899854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging (Licence: NY 011615) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 011615) |
| 103TH0100X Psychologist, Health Service (Licence: NY 011615) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2015-12-10 |