NPI | 1821224031 |
---|---|
Other Name | EVE LYNN GOLDSCHLAG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 018002) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 018002) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 018002) | |
103TS0200X Psychologist, School (Licence: NY 018002) | |
Enumeration Date | 2009-06-02 |
Last Update Date | 2013-04-08 |