NPI | 1235470972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 019985) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 009491) |
Enumeration Date | 2013-03-05 |
Last Update Date | 2020-01-22 |