| NPI | 1609185909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: NY 014858-1) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: NY 014858-1) |
| 103TP2701X Psychologist Group Psychotherapy (Licence: NY 014858-1) | |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |