| NPI | 1568075075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 023827) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: NY 023827) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 023827) | |
| 103TF0000X Psychologist, Family (Licence: NY 023827) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NY 023827) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NY 023827) | |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-11-02 |