| NPI | 1053621821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 013481-1) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 788663971) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |