| NPI | 1073824793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 022235) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000776) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2018-06-15 |