| NPI | 1982820403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: NY 8090-1) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 8090-1) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 8090-1) | |
| 103TC0700X Psychologist, Clinical (Licence: NY 8090-1) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 8090-1) | |
| 103TF0000X Psychologist, Family (Licence: NY 8090-1) | |
| 106H00000X Marriage & Family Therapist (Licence: NY 8090-1) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2025-09-11 |