| NPI | 1598984932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: NY 68-016934) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 68-016934) |
| 103TH0100X Psychologist, Health Service (Licence: NY 68-016934) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |