| NPI | 1861941270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 021738-1) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 021738-1) |
| 103TC0700X Psychologist, Clinical (Licence: NY 021738-1) | |
| 103TC1900X Psychologist, Counseling (Licence: NY 021738-1) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 021738-1) | |
| 103TF0000X Psychologist, Family (Licence: NY 021738-1) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NY 021738-1) | |
| 103TP0814X Psychologist, Psychoanalysis (Licence: NY 021738-1) | |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2019-04-24 |