NPI | 1871145417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 025745-01) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.010971) |
Enumeration Date | 2019-07-14 |
Last Update Date | 2023-11-14 |