| NPI | 1124791785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1485940211) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 1485940211) |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2022-02-11 |