NPI | 1104844877 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3604) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CO 3604) |
103TC0700X Psychologist, Clinical (Licence: ND 375) | |
103TC0700X Psychologist, Clinical (Licence: MO 2002030476) | |
Enumeration Date | 2006-07-18 |
Last Update Date | 2024-11-12 |