| NPI | 1689913220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 012457) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 004902) |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-02-01 |