| NPI | 1801116256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 018438-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 059167-1) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2014-04-22 |