NPI | 1063102358 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 103525) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 103525) |
Enumeration Date | 2023-05-10 |
Last Update Date | 2024-07-11 |