NPI | 1003045477 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042454A) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IL 071007565) |
103TC0700X Psychologist, Clinical (Licence: IL 071007565) | |
Enumeration Date | 2009-07-07 |
Last Update Date | 2011-05-16 |