| NPI | 1285972372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 021921) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 319460) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2021-02-09 |