| NPI | 1841637063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 020128) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: NY 020128) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-09-29 |