| NPI | 1265569529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 1764961) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 0002031) |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: NY 1764961) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |