| NPI | 1194203901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 025006) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 103262) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2024-07-25 |