NPI | 1144355637 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 023036) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000916-1) |
Enumeration Date | 2007-02-23 |
Last Update Date | 2021-04-22 |