| NPI | 1235633447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 023579) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 007768) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2022-02-10 |