NPI | 1457472730 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35S100510500) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 001524) |
103T00000X Psychologist (Licence: NY 017463) | |
Enumeration Date | 2007-04-03 |
Last Update Date | 2013-11-05 |