NPI | 1629008958 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 001139) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 014502-1) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2013-09-04 |