| NPI | 1891938189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 018190-1) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WY 458) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2011-05-03 |