| NPI | 1477214088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 024629) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: FL PY11321) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-08-22 |