| NPI | 1669687992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: CT 001991) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: NY 012394) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2007-07-08 |