NPI | 1205052966 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 0144171) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 0144171) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2010-07-08 |