| NPI | 1730260712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY RO29869-1) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 003568) |
| 1041C0700X Social Worker, Clinical (Licence: NY RO29869-1) | |
| 1041C0700X Social Worker, Clinical (Licence: CT 003568) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |