| NPI | 1851610786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 017943-1) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: HI 1149) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2010-05-17 |