| NPI | 1235153875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL 6879) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 18942) |
| 103T00000X Psychologist (Licence: NY 16748) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |