NPI | 1699977033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 017986) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 001328) |
103TC0700X Psychologist, Clinical (Licence: NY 0179861) | |
Enumeration Date | 2007-06-05 |
Last Update Date | 2011-08-09 |