| NPI | 1992681845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 027442) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY12793) |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2025-08-14 |