NPI | 1841326196 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 017997) |
Additional Taxonomies | 103T00000X Psychologist |
103TC0700X Psychologist, Clinical (Licence: VA 0810003774) | |
Enumeration Date | 2007-02-23 |
Last Update Date | 2019-09-05 |