NPI | 1932423852 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 016473) |
Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: NY 016473) |
103TC1900X Psychologist Counseling (Licence: NY 016473) | |
103TC2200X Psychologist Clinical Child & Adolescent (Licence: NY 016473) | |
103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: NY 016473) | |
103TS0200X Psychologist School (Licence: NY 016473) | |
Enumeration Date | 2010-03-22 |
Last Update Date | 2010-03-22 |