| NPI | 1033774609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 026922) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS020452) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2026-06-22 |