| NPI | 1922333053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 018508-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY P72390) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2022-02-25 |