NPI | 1457925026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS019844) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 024508) |
103T00000X Psychologist | |
Enumeration Date | 2021-05-18 |
Last Update Date | 2023-03-06 |