NPI | 1699898411 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 015896) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 015896) |
103TS0200X Psychologist, School (Licence: NY 015896) | |
Enumeration Date | 2007-04-08 |
Last Update Date | 2010-06-02 |