| NPI | 1366706913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: NY 465173-1) |
| Additional Taxonomies | 103TH0100X Psychologist Health Service (Licence: NY 465173-1) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |