NPI | 1447987755 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 026168) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00746300) |
103T00000X Psychologist (Licence: CT 4766) | |
Enumeration Date | 2022-08-05 |
Last Update Date | 2025-01-07 |