| NPI | 1972652329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist (Licence: NY NY Lic. 010815-1) | |
| 103T00000X Psychologist (Licence: PA Ps003026-L) | |
| 103TC1900X Psychologist, Counseling | |
| 103T00000X Psychologist (Licence: NY 010815-1) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-11-24 |