| NPI | 1669109096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 023326) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS LP03142) |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2022-08-05 |