| NPI | 1679809768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 018344) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: NY 018344) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2024-06-06 |