| NPI | 1154873883 |
|---|---|
| Former Name | STEPHANIE RISCHA GOTTLIEB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 021912) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 021912) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 021912) | |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |