NPI | 1124791785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NY 1485940211) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 1485940211) |
Enumeration Date | 2021-07-29 |
Last Update Date | 2022-02-11 |