NPI | 1801445390 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 023263) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 023263) |
103TC0700X Psychologist, Clinical (Licence: NY 023263) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 023263) | |
103TF0000X Psychologist, Family (Licence: NY 023263) | |
Enumeration Date | 2019-09-06 |
Last Update Date | 2019-09-06 |