| NPI | 1902127962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 017638) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 4468) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2023-07-07 |