| NPI | 1851771505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 022938) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 3455) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2021-09-02 |