| NPI | 1114702602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 68-P131891-01) |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2025-08-22 |