| NPI | 1396185252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 018364-1) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 002960) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-06-25 |