| NPI | 1720976731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 027330) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 027330) |
| 103TH0004X Psychologist, Health (Licence: NY 027330) | |
| 103TH0100X Psychologist, Health Service (Licence: NY 027330) | |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-08-28 |