NPI | 1396260634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 022255) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 022255) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 022255) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 022255) | |
103TF0000X Psychologist, Family (Licence: NY 022255) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: NY 022255) | |
Enumeration Date | 2017-08-08 |
Last Update Date | 2024-07-10 |