| NPI | 1114302643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 026546-01) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DE B1-0011238) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2026-03-24 |