| NPI | 1356655930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 017857) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 002982) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-11-18 |