NPI | 1609956796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 002871) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 013314) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2009-06-10 |