NPI | 1467910901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 023250) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 30788) |
Enumeration Date | 2019-03-04 |
Last Update Date | 2019-07-03 |