| NPI | 1881723153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY R035633) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: 11521) |
| 103T00000X Psychologist (Licence: NY R035633) | |
| 1041C0700X Social Worker, Clinical (Licence: 29757) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2016-10-26 |