NPI | 1154472306 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6790) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 015732) |
Enumeration Date | 2007-01-15 |
Last Update Date | 2024-08-26 |