NPI | 1497025340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 019779) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PA ps017156) |
Enumeration Date | 2012-01-10 |
Last Update Date | 2013-05-02 |