NPI | 1750881553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 025346) |
Additional Taxonomies | 103T00000X Psychologist |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH P.07711) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 025346) | |
Enumeration Date | 2018-02-19 |
Last Update Date | 2022-11-09 |