| NPI | 1184383770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 016094) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: NY PR16094) |
| Enumeration Date | 2021-12-11 |
| Last Update Date | 2024-10-15 |