NPI | 1023399102 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 5712) |
Additional Taxonomies | 103TF0200X Psychologist Forensic (Licence: NC 5712) |
Enumeration Date | 2011-09-02 |
Last Update Date | 2020-08-28 |