| NPI | 1699177501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 68 021865) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TC0700X Psychologist, Clinical (Licence: IL 071.011188) | |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2025-08-21 |