| NPI | 1356707186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 023031) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P96609) |
| Enumeration Date | 2016-01-09 |
| Last Update Date | 2019-04-22 |