NPI | 1245839109 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY P107392) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY P107392) |
Enumeration Date | 2020-10-21 |
Last Update Date | 2020-12-16 |