| NPI | 1497114920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 024435-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 005071) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2021-12-01 |