NPI | 1013001114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN 2205) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: ND 306) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2017-02-24 |