NPI | 1003147547 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY-1092) |
Additional Taxonomies | 103T00000X Psychologist (Licence: HI PSY-1092) |
Enumeration Date | 2010-01-22 |
Last Update Date | 2010-01-22 |