NPI | 1639505845 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CT 3320) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 020274) |
Enumeration Date | 2013-09-19 |
Last Update Date | 2017-09-27 |