| NPI | 1336295534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 012503-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 026072-1) |
| Enumeration Date | 2007-01-28 |
| Last Update Date | 2007-07-08 |