NPI | 1003294232 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 06162) |
Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: MD 06162) |
Enumeration Date | 2015-05-07 |
Last Update Date | 2019-06-10 |