NPI | 1316474869 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 024699) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00719200) |
103TC0700X Psychologist, Clinical (Licence: MA PSY10000271) | |
Enumeration Date | 2017-05-15 |
Last Update Date | 2024-05-03 |