| NPI | 1013681691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: NY 1708578) |
| Additional Taxonomies | 103TS0200X Psychologist School |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-08-10 |