| NPI | 1912321365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 020425) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 020425-1) |
| 103TC0700X Psychologist, Clinical (Licence: NY 020425-1) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NY 020425-1) | |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2015-05-07 |