NPI | 1861137184 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS020055) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 024828) |
Enumeration Date | 2022-05-02 |
Last Update Date | 2024-01-22 |