| NPI | 1306205513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000532) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NY 000532) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 000532) | |
| 103TF0000X Psychologist, Family (Licence: NY 000532) | |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |