| NPI | 1871702993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 012890-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 002415) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2025-09-15 |