| NPI | 1194814756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 018503-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 046116) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2010-06-21 |