NPI | 1497962880 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 0100301) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 0100301) |
103TC1900X Psychologist, Counseling (Licence: NY 0100301) | |
Enumeration Date | 2007-05-17 |
Last Update Date | 2013-06-07 |