NPI | 1063012318 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 023947) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CT 4204) |
103T00000X Psychologist (Licence: RI PS01914) | |
Enumeration Date | 2020-10-27 |
Last Update Date | 2024-03-25 |