| NPI | 1497853030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY R022517 LCSW) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY R022517 LCSW) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |