| NPI | 1174349328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 010811-1) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NY 010811-1) |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-03 |