| NPI | 1821620139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 005415) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 005415) |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |