| NPI | 1770860488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 021295) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 004930) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2017-02-27 |