NPI | 1629082789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY5397) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 010638-1) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2019-04-22 |