| NPI | 1497877559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 003150) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 016397) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2014-03-25 |