| NPI | 1841323748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 9447) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 4255) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2022-05-13 |