| NPI | 1316218548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 019208-1) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 019208-1) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2021-09-26 |