| NPI | 1275078842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1085109162) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 1085109162) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-17 |