NPI | 1083135313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 68-P138284-01) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 008598) |
Enumeration Date | 2017-06-27 |
Last Update Date | 2025-09-09 |