| NPI | 1720223241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 021445) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 00073294) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2018-03-17 |