| NPI | 1730509373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 019878) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 3323) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |