NPI | 1033816038 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY6572) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY6572) |
Enumeration Date | 2023-02-09 |
Last Update Date | 2023-02-10 |