NPI | 1003113523 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: KY 1241) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20040794A) |
Enumeration Date | 2011-02-18 |
Last Update Date | 2011-02-18 |