NPI | 1053553784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 022110-1) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: HI PSY 1106) |
Enumeration Date | 2009-03-26 |
Last Update Date | 2018-03-17 |