NPI | 1073782322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 017411) |
Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: NY 017411) |
103TS0200X Psychologist, School (Licence: NY 017411) | |
Enumeration Date | 2008-02-20 |
Last Update Date | 2008-02-20 |