NPI | 1073752432 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MD 04862) |
Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSY1000658) |
Enumeration Date | 2009-02-09 |
Last Update Date | 2010-12-14 |