NPI | 1295392744 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 024391) |
Additional Taxonomies | 103T00000X Psychologist (Licence: unlicensed) |
Enumeration Date | 2019-05-21 |
Last Update Date | 2021-07-09 |