| NPI | 1720606817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 023945) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100649500) |
| 103TC0700X Psychologist, Clinical (Licence: NY P103654) | |
| 103TC0700X Psychologist, Clinical (Licence: NM PSY1658) | |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2024-11-15 |