NPI | 1407587736 |
---|---|
Other Name | ANI M FREDMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 026599) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 026599) |
Enumeration Date | 2022-06-17 |
Last Update Date | 2024-09-26 |