| NPI | 1568258127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NY 024379) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: NY 024379) |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2025-04-18 |