NPI | 1235573494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 019874-1) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 19874) |
Enumeration Date | 2013-04-18 |
Last Update Date | 2023-07-06 |