NPI | 1518477462 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: 022336) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: 022336) |
103T00000X Psychologist (Licence: NY 022336) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 022336) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: NY 022336) | |
Enumeration Date | 2017-10-05 |
Last Update Date | 2017-10-05 |