NPI | 1609185909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 014858-1) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 014858-1) |
103TP2701X Psychologist, Group Psychotherapy (Licence: NY 014858-1) | |
Enumeration Date | 2010-10-04 |
Last Update Date | 2010-10-04 |