| NPI | 1982034757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 19840) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 04550) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |