NPI | 1023341815 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 023268) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 18004305) |
101YM0800X Counselor, Mental Health (Licence: NY 18 0004308) | |
103TC0700X Psychologist, Clinical (Licence: NY P08602) | |
Enumeration Date | 2009-09-10 |
Last Update Date | 2019-07-10 |