| NPI | 1861546665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 025989) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: OH 5963) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2024-05-22 |