| NPI | 1750610564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: NY 545846111) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 72071970) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2014-02-06 |