| NPI | 1407589914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 025014) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 4238) |
| Enumeration Date | 2022-07-03 |
| Last Update Date | 2022-07-03 |