| NPI | 1235573494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 019874-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 19874) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2026-07-02 |