| NPI | 1609638436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 028390) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 68-P126684-01) |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2026-08-31 |