| NPI | 1619294188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 018490) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 018490) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2025-12-10 |