| NPI | 1194140517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: NY 3513156) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: 42110) |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2014-02-21 |