| NPI | 1497509541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 025974) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 025974) |
| 103TC0700X Psychologist, Clinical (Licence: NY 025974) | |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |