NPI | 1033284252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 5577) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 6006) |
103TC0700X Psychologist, Clinical (Licence: MI 6301008392) | |
Enumeration Date | 2006-11-22 |
Last Update Date | 2012-07-06 |