| NPI | 1588231153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 017580) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MD 04656) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2021-06-10 |