| NPI | 1952559932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 019508) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 4069) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2015-02-23 |