| NPI | 1891786349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NY PR018356-1) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY PR018356-1) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2013-12-11 |