NPI | 1093115354 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 4611) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 020094) |
Enumeration Date | 2014-08-23 |
Last Update Date | 2014-10-21 |