| NPI | 1144408006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 017506) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 2820) |
| Enumeration Date | 2008-02-03 |
| Last Update Date | 2013-09-25 |