NPI | 1215462726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 324889-1) |
Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NY 324889-1) |
Enumeration Date | 2017-04-23 |
Last Update Date | 2017-04-23 |