| NPI | 1003874207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 6699) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 0006699) |
| 103TC0700X Psychologist, Clinical (Licence: NY 0006699) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 0006699) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2023-07-03 |