| NPI | 1871271908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 025255) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TH0004X Psychologist, Health | |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |