NPI | 1255577201 |
---|---|
Former Name | ELIZABETH A. OMAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 021477) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 872574) |
Enumeration Date | 2008-12-22 |
Last Update Date | 2022-10-18 |