| NPI | 1518310986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: NY 1044618161) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 1045335161) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |