NPI | 1942340757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: NY 08755-1) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 08755-1) |
103TC2200X Psychologist Clinical Child & Adolescent (Licence: NY 08755-1) | |
103T00000X Psychologist (Licence: NY 08755-1) | |
Enumeration Date | 2007-02-08 |
Last Update Date | 2007-07-08 |