NPI | 1194089649 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 017444) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NH 3338) |
103TC0700X Psychologist, Clinical (Licence: NJ 35SI00669100) | |
Enumeration Date | 2012-06-29 |
Last Update Date | 2024-04-17 |