| NPI | 1235444076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 1103844) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 002236) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |