NPI | 1255525549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 0148401) |
Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: NY 2428621) |
Enumeration Date | 2007-08-30 |
Last Update Date | 2007-08-30 |