| NPI | 1912156415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 096291) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 075430-1) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2024-02-14 |