NPI | 1881143105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 021843) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 021843) |
103TC0700X Psychologist, Clinical (Licence: NY 021843-01) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 021843-01) | |
Enumeration Date | 2016-09-27 |
Last Update Date | 2022-09-01 |