NPI | 1073723698 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 5971) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN 2417) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2025-06-11 |