| NPI | 1184916751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 018544) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MA 11468) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2023-04-14 |