NPI | 1356637250 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 00984-1) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PT10287) |
Enumeration Date | 2011-06-20 |
Last Update Date | 2011-06-20 |