NPI | 1932276045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 013274) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 013274) |
Enumeration Date | 2006-11-30 |
Last Update Date | 2007-09-19 |