NPI | 1083716559 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS016032) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20041900A) |
Enumeration Date | 2006-09-03 |
Last Update Date | 2007-07-08 |