NPI | 1043589575 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 015296-1) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071005405) |
Enumeration Date | 2011-12-29 |
Last Update Date | 2013-04-14 |