| NPI | 1659170652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: NY 134667) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TP0016X Psychologist, Prescribing (Medical) | |
| 104100000X Social Worker | |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-04-02 |