NPI | 1871257980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 024627) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 024627) |
Enumeration Date | 2021-10-25 |
Last Update Date | 2021-10-25 |