| NPI | 1255525549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 0148401) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: NY 2428621) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |