| NPI | 1699471995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 024870) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY12203) |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2025-11-21 |