| NPI | 1417026717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 007332-1) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 007332-1) |
| 103TC1900X Psychologist, Counseling (Licence: NY 007332-1) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 007332-1) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NY 007332-1) | |
| 106H00000X Marriage & Family Therapist (Licence: NY 007332-1) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |