| NPI | 1922281989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 3417) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 017030) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |