| NPI | 1598788895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 016135) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 016135-1) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2011-12-21 |