| NPI | 1841233459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 018721) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 077995) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-07-01 |