NPI | 1740873470 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS019985) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 022726) |
Enumeration Date | 2021-02-13 |
Last Update Date | 2024-06-12 |