NPI | 1225485659 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 021605-1) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 021605-1) |
Enumeration Date | 2016-05-16 |
Last Update Date | 2017-03-14 |