| NPI | 1124323761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 019039) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 354588091) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2023-10-06 |