| NPI | 1144355637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 023036) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000916-1) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2021-04-22 |