NPI | 1427191394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 012112) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NC 3286) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2016-11-11 |