NPI | 1396124707 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 021616) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 021616) |
Enumeration Date | 2015-05-19 |
Last Update Date | 2020-09-15 |