| NPI | 1982110482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 021609-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 021609-01) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2023-07-25 |