NPI | 1366736001 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 017422) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 17422) |
Enumeration Date | 2011-05-29 |
Last Update Date | 2023-07-06 |