| NPI | 1710369673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 023598-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 083994-1) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2020-04-07 |