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