| NPI | 1669623864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000062) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 1050608) |
| 103T00000X Psychologist (Licence: NY 018565) | |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2010-06-25 |