| NPI | 1831481985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 021072-1) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 021072-1) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2021-06-11 |