| NPI | 1700117173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 020422-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R049618-1) |
| Enumeration Date | 2010-01-24 |
| Last Update Date | 2014-03-17 |