| NPI | 1841667177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 3906) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 023555) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2020-02-06 |