| NPI | 1326731092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 017201) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 3351) |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-06-01 |