| NPI | 1760989255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: NY 1125366) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |