| NPI | 1063914687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 023061) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: VA 0813000934) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2019-08-27 |