NPI | 1023178761 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 1220) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CO 1220) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2007-10-30 |