NPI | 1437927225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 025982) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 39410) |
Enumeration Date | 2023-12-12 |
Last Update Date | 2023-12-12 |