NPI | 1518374057 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 026167) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 087035) |
Enumeration Date | 2014-07-16 |
Last Update Date | 2024-10-19 |