| NPI | 1245540293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TS0200X Psychologist, School (Licence: NY 823161) | |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2016-04-06 |