| NPI | 1467530519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 003295) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 017830) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2013-08-30 |