NPI | 1013011758 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY RO584741) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY RO584741) |
Enumeration Date | 2006-09-12 |
Last Update Date | 2007-07-08 |