| NPI | 1013202944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 019611) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 918063) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2024-04-03 |