NPI | 1073872214 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS017202) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS017202) |
Enumeration Date | 2012-05-09 |
Last Update Date | 2013-11-07 |