| NPI | 1548585573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY p73313) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 061079-1) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-07-20 |