NPI | 1043950181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 025302) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY P107864) |
Enumeration Date | 2022-03-29 |
Last Update Date | 2022-10-13 |