| NPI | 1689644957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 0118361) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY V9I902) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2021-07-30 |