| NPI | 1891279758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 022750) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: NY 022750) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |