NPI | 1376709386 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS016480) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 017612) |
Enumeration Date | 2008-07-30 |
Last Update Date | 2022-08-31 |