NPI | 1053884312 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 1510) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AL 2114) |
Enumeration Date | 2019-01-09 |
Last Update Date | 2019-08-07 |