| NPI | 1730383191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 09127) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 014554) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2010-12-22 |