| NPI | 1093586570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 115268-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: 115268-01) |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2024-01-12 |