| NPI | 1538357967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 01425-1) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DE B1-0000657) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |