| NPI | 1346401106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: 014065) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 014065) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |