| NPI | 1710213681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 018352-1) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 018352) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2024-04-08 |