| NPI | 1194031674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 025228-01) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY P77142) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2023-10-24 |