| NPI | 1114661923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 024244) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| 103TH0100X Psychologist Health Service | |
| 103TP2701X Psychologist Group Psychotherapy | |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-04-27 |