| NPI | 1396922704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging (Licence: NY 013925-1) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 013925-1) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |