| NPI | 1518374057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 026167) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 087035) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2024-10-19 |