| NPI | 1003143934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 020940) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 076905) |
| 1041C0700X Social Worker, Clinical (Licence: NY 020940) | |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2023-03-02 |