| NPI | 1891018263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 018514) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 018514) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 018514) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402055-1) | |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2016-07-30 |