| NPI | 1578173043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 027403) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810008555) |
| Enumeration Date | 2020-08-08 |
| Last Update Date | 2025-09-05 |