| NPI | 1568527513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY NYR0363751) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 003004) |
| 1041C0700X Social Worker, Clinical (Licence: CT 003004) | |
| 1041C0700X Social Worker, Clinical (Licence: NY NYR0363751) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |