| NPI | 1699222836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: NY 021521) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2018-02-07 |