NPI | 1134295900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 5094) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 5094) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 5094) | |
103TF0200X Psychologist, Forensic (Licence: NY 5094) | |
Enumeration Date | 2006-11-25 |
Last Update Date | 2008-07-04 |