NPI | 1013320829 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AK 109776) |
Additional Taxonomies | 103T00000X Psychologist (Licence: AK 109776) |
Enumeration Date | 2014-06-09 |
Last Update Date | 2024-08-07 |