| NPI | 1912571167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 023310-01) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 023310-01) |
| 103TF0000X Psychologist, Family (Licence: NY 023310-01) | |
| 103TS0200X Psychologist, School (Licence: NY 023310-01) | |
| 106H00000X Marriage & Family Therapist (Licence: NY 023310-01) | |
| 103T00000X Psychologist (Licence: NY 023310-01) | |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2021-05-13 |