NPI | 1093766123 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS006249L) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS006249L) |
Enumeration Date | 2006-05-13 |
Last Update Date | 2013-06-26 |