NPI | 1245504992 |
---|---|
Former Name | LEAH CATHERINE LANGSAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 020884) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CT 3764) |
103TC0700X Psychologist Clinical (Licence: NY 020288) | |
Enumeration Date | 2012-02-27 |
Last Update Date | 2023-05-03 |