| NPI | 1831316561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: NY 003972) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 003972) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2025-09-11 |