| NPI | 1740018027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 027018) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810008562) |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2025-09-25 |