| NPI | 1023341815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 023268) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 18004305) |
| 101YM0800X Counselor, Mental Health (Licence: NY 18 0004308) | |
| 103TC0700X Psychologist, Clinical (Licence: NY P08602) | |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2019-07-10 |