| NPI | 1285821983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 7948) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P117855) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2025-01-09 |