NPI | 1053514737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS007868L) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS007868L) |
Enumeration Date | 2007-06-08 |
Last Update Date | 2024-10-28 |