| NPI | 1902097785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 015707) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CT 002561) |
| 103TC0700X Psychologist, Clinical (Licence: CT 002561) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CT 002561) | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2014-07-30 |