| 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 |