NPI | 1285808949 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 1870785) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 1870785) |
103TS0200X Psychologist, School (Licence: NY 1870785) | |
Enumeration Date | 2008-04-14 |
Last Update Date | 2008-05-05 |