NPI | 1437477213 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 020354) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MA 9709) |
Enumeration Date | 2010-05-04 |
Last Update Date | 2013-11-06 |