| NPI | 1184207383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 026818) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P02562) |
| 103TC1900X Psychologist, Counseling (Licence: NY 68-P125283-01) | |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2024-11-06 |