| NPI | 1942331533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 015411) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 015411-1) |
| 103T00000X Psychologist (Licence: NY 015411-1) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2019-08-07 |