| NPI | 1336696574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: NY 1054727162) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NJ 1033066) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |