| NPI | 1467021279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 022039) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 022039) |
| 103TC1900X Psychologist, Counseling (Licence: NY 022039) | |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2021-07-12 |