| NPI | 1831408269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 019075-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 019075-1) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2011-05-24 |