NPI | 1487952974 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 018953) |
Additional Taxonomies | 103TS0200X Psychologist, School |
Enumeration Date | 2011-03-07 |
Last Update Date | 2011-03-07 |