| NPI | 1760610216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 020196) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: LA 1171) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2014-06-20 |