| NPI | 1417238486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 001692) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NY 001692) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NY 001692) | |
| 103TF0000X Psychologist, Family (Licence: NY 001692) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 001692) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NY 001692) | |
| 103K00000X Behavior Analyst (Licence: NY 001692) | |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2013-04-01 |