| NPI | 1942632724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MT PSY1993) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 020171-1) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2025-03-26 |