| NPI | 1578224812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 021086-01) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 4155) |
| Enumeration Date | 2022-01-09 |
| Last Update Date | 2025-06-17 |