NPI | 1013391333 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3413) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DE B1-0001118) |
Enumeration Date | 2015-07-16 |
Last Update Date | 2022-03-25 |