| NPI | 1386092096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 09428001) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 093394) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2023-04-10 |