NPI | 1043425440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6301010569) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301010569) |
Enumeration Date | 2007-05-11 |
Last Update Date | 2023-11-17 |