NPI | 1427221282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 10855) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 10855) |
Enumeration Date | 2008-04-11 |
Last Update Date | 2008-04-11 |