NPI | 1023287687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CT 4573) |
Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY7679) |
103T00000X Psychologist (Licence: NY 012271) | |
171100000X Acupuncturist (Licence: CT 657) | |
Enumeration Date | 2008-02-27 |
Last Update Date | 2024-07-16 |