| NPI | 1285808949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 1870785) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 1870785) |
| 103TS0200X Psychologist, School (Licence: NY 1870785) | |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-05-05 |