| NPI | 1043950181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 025302) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY P107864) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-10-13 |