| NPI | 1932685476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 026148) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TC1900X Psychologist, Counseling (Licence: NY 026148) | |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2025-06-13 |