| NPI | 1245515402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) (Licence: NY 014982-1) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 014982-1) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |