| NPI | 1295163665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 022035) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 283Q00000X Psychiatric Hospital | |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2019-03-28 |