NPI | 1982939195 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MD 04731) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 018728) |
Enumeration Date | 2009-10-05 |
Last Update Date | 2016-09-13 |