| NPI | 1780924621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PR 004750) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P121148) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2025-07-07 |