| NPI | 1235470972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 019985) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 009491) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2020-01-22 |