| NPI | 1952798662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 022103) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 2578059) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2017-04-24 |