| NPI | 1306245055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 020543) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 020543) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2024-05-14 |