| NPI | 1063037455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 026526) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37pc00946100) |
| 101YP2500X Counselor, Professional (Licence: PA pc012206) | |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2024-09-18 |