NPI | 1053312264 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 047.0097608) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS007210L) |
Enumeration Date | 2005-08-10 |
Last Update Date | 2013-10-16 |