| NPI | 1689836843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 003601) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 003601) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2022-09-26 |