| NPI | 1427340181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 021271) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 003437) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2015-09-19 |