NPI | 1013441880 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 06043) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1001575) |
Enumeration Date | 2017-04-18 |
Last Update Date | 2020-10-20 |