NPI | 1427828094 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: UT 13523603-2501) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 027019) |
Enumeration Date | 2024-01-04 |
Last Update Date | 2025-01-15 |