| NPI | 1982983573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 021934) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 004724) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2018-03-17 |