| NPI | 1528189719 |
|---|---|
| Other Name | NEW SHOREHAM HUMAN SYSTEMS CONSULTING, LLC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 002230) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: CT 002230) |
| 103TC0700X Psychologist Clinical (Licence: CT 002230) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CT 002230) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |