| NPI | 1275792947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 017651) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 2173181) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2009-08-19 |