NPI | 1902010440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 019713) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 001743) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2020-10-05 |