NPI | 1871702993 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 012890-1) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 002415) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2025-09-15 |