| NPI | 1922165687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 013633-01) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 013633-1) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2025-08-06 |