NPI | 1649861741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 025105-01) |
Additional Taxonomies | 103TS0200X Psychologist, School |
Enumeration Date | 2021-02-01 |
Last Update Date | 2023-12-11 |