| NPI | 1861088510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 024982) |
| Additional Taxonomies | 103T00000X Psychologist |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2025-10-25 |