NPI | 1033420625 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 04732) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810004172) |
Enumeration Date | 2010-06-29 |
Last Update Date | 2010-06-29 |