NPI | 1780978395 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 018416) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 27835) |
Enumeration Date | 2011-06-01 |
Last Update Date | 2024-10-23 |