NPI | 1023563814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CO 0213535) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 1660) |
Enumeration Date | 2016-08-22 |
Last Update Date | 2016-08-22 |