| NPI | 1124147855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 014227) |
| Additional Taxonomies | 1744R1102X Specialist, Research Study (Licence: NY 014227) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2021-12-14 |