| NPI | 1821229113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 002458) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 015303-1) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2012-12-10 |