NPI | 1922348267 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: NY 020278) |
Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: AZ 4372) |
Enumeration Date | 2013-02-24 |
Last Update Date | 2013-09-30 |