| NPI | 1063785491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 026916) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 6912) |
| 1041C0700X Social Worker, Clinical (Licence: NC C007044) | |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2025-10-16 |