NPI | 1841691623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY P09316) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TC0700X Psychologist, Clinical (Licence: NY 023704) | |
Enumeration Date | 2014-09-11 |
Last Update Date | 2019-02-28 |