| NPI | 1295889533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 10775-1) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO 2655) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-08-28 |