| NPI | 1841524592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 3283) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 019720) |
| 103T00000X Psychologist (Licence: CT 3283) | |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2014-10-02 |