| NPI | 1669206843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: NY $$$$$$$$$) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-08-29 |