| NPI | 1851776793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 012432) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 012432) |
| 103TS0200X Psychologist, School (Licence: NY 012432) | |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |