| NPI | 1982982690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 018851) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 018851) |
| 103T00000X Psychologist (Licence: NY 18851) | |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2023-07-06 |