| NPI | 1053465419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 0002621) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY PR0220251) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2025-08-12 |