| NPI | 1285252494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 026169) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 087654) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2024-02-13 |