NPI | 1770600041 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 019061) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY15684) |
Enumeration Date | 2007-03-23 |
Last Update Date | 2022-12-21 |