| NPI | 1518750678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 027436) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 005071) |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-08-13 |