| NPI | 1942768072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS019272) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist (Licence: NY 025116-01) | |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2025-01-16 |