| NPI | 1982046082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 005264-1) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2022-08-05 |