| NPI | 1366550899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 017331) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 003108) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2008-01-10 |