NPI | 1912337114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 017982-1) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 017982-1) |
Enumeration Date | 2013-11-25 |
Last Update Date | 2022-03-08 |