| NPI | 1255194056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 017974-1) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CT 002928) |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |