| NPI | 1295038420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 68 017134) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-09 |