| NPI | 1801016324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: FL PY7717) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: NY 016181-1) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2014-04-03 |