NPI | 1073520771 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WV 275) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WV 22019) |
Enumeration Date | 2006-08-02 |
Last Update Date | 2009-02-12 |