| NPI | 1659421568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 013461) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 003127) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |