NPI | 1992473961 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 025315) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 4503) |
Enumeration Date | 2021-09-02 |
Last Update Date | 2024-07-18 |