NPI | 1720484843 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 020299-1) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00510800) |
Enumeration Date | 2014-11-17 |
Last Update Date | 2014-11-29 |