| NPI | 1841524899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 68-021189) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 68-021189) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2022-07-21 |