| NPI | 1801870944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PR1757) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY LSWPR1757) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2009-09-28 |