| NPI | 1083967202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 056522) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| 103T00000X Psychologist | |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2014-06-23 |