| NPI | 1699977033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 017986) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 001328) |
| 103TC0700X Psychologist, Clinical (Licence: NY 0179861) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2011-08-09 |