| NPI | 1841931458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 022027) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 022027) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: NY 022027) | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical (Licence: NY 022027) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TH0004X Psychologist, Health (Licence: NY 022027) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 103TR0400X Psychologist, Rehabilitation (Licence: NY 022027) | |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2024-03-27 |