NPI | 1932459518 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 4653) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 019768-1) |
Enumeration Date | 2012-09-11 |
Last Update Date | 2014-08-25 |