| NPI | 1821199225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MA 8678) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NY 016898) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2023-11-29 |