NPI | 1538404090 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 021075) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071008475) |
Enumeration Date | 2012-12-10 |
Last Update Date | 2016-05-04 |