| NPI | 1952975336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 025317-01) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 001404) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2022-10-27 |