NPI | 1194155911 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 019166) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 019166) |
Enumeration Date | 2013-11-14 |
Last Update Date | 2023-03-07 |