| NPI | 1770663940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 018216-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: NY 018216-1) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NY 018216-1) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2009-09-03 |