NPI | 1033414891 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 020987-1) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: HI 55064) |
Enumeration Date | 2011-01-25 |
Last Update Date | 2018-07-18 |