| NPI | 1033421979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 015071) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |