| NPI | 1891171310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 025546) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NY P96999) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2024-04-18 |