| NPI | 1871625301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 015792-01) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| 103TA0700X Psychologist Adult Development & Aging | |
| 103TC0700X Psychologist Clinical (Licence: NY 015972-01) | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TF0000X Psychologist Family | |
| 103TP2701X Psychologist Group Psychotherapy | |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2025-06-28 |