NPI | 1073737698 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TS0200X Psychologist School (Licence: GA 2994) |
Additional Taxonomies | 103TS0200X Psychologist School (Licence: MD 04803) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2012-04-17 |