| NPI | 1902113590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 021930) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MA 11228) |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2023-05-03 |