NPI | 1033154885 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0001010) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 20878) |
Enumeration Date | 2006-06-17 |
Last Update Date | 2016-10-04 |