| NPI | 1134446479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 00758-1) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 007518-1) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-04-27 |