NPI | 1063188399 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WI 5092-57) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WI 5092) |
Enumeration Date | 2021-08-17 |
Last Update Date | 2024-10-07 |