NPI | 1346264256 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS00449) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 6161) |
103TC0700X Psychologist, Clinical (Licence: NY 010725) | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2007-07-08 |