| NPI | 1093115107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: NY 020755) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 020755) |
| 103T00000X Psychologist (Licence: NY 020755) | |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-27 |