| NPI | 1194057125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 018401) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL 7616) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2015-02-17 |