| NPI | 1255737821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 020783) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: HI PSY-2197-0) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2025-04-24 |