| NPI | 1811356231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 011473) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NY 011473) |
| 103TF0200X Psychologist Forensic (Licence: NY 011473) | |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2024-09-20 |