| NPI | 1043950355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 020686) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TH0004X Psychologist, Health | |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2022-04-01 |