NPI | 1093922171 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DE B1-0000299) |
103TH0100X Psychologist, Health Service (Licence: PA PS015855) | |
Enumeration Date | 2007-05-17 |
Last Update Date | 2007-07-08 |