| NPI | 1528587078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 022762) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 022762) |
| 103T00000X Psychologist (Licence: NY 022762) | |
| 103TC0700X Psychologist, Clinical (Licence: DC PSY1001268) | |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2023-01-31 |