| NPI | 1740328475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 017038-1) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NY 017038-1) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2025-01-28 |