| NPI | 1659021954 |
|---|---|
| Former Name | GLYNNIS O'SHEA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 024809) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 024809) |
| 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00707200) | |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2023-04-13 |