| NPI | 1851535439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 017936-1) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: NY 017936-1) |
| 103TH0004X Psychologist Health (Licence: NY 017936-1) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: NY 017936-1) | |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2009-04-27 |