| NPI | 1487549978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 02694801) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NY 02694801) |
| 103G00000X Clinical Neuropsychologist (Licence: NY 02694801) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 02694801) | |
| 103TF0200X Psychologist, Forensic (Licence: NY 02694801) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 02694801) | |
| 103TP0814X Psychologist, Psychoanalysis (Licence: NY 02694801) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NY 02694801) | |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-09-11 |