NPI | 1114661923 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 024244) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling |
103TH0100X Psychologist, Health Service | |
103TP2701X Psychologist, Group Psychotherapy | |
Enumeration Date | 2022-04-27 |
Last Update Date | 2022-04-27 |