| NPI | 1679135883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: NY 1324238191) |
| Additional Taxonomies | 103TS0200X Psychologist School |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |