NPI | 1003278045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 021465-1) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 021465-1) |
Enumeration Date | 2016-03-28 |
Last Update Date | 2016-05-04 |