NPI | 1104848324 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MD 1962) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 1962) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2007-07-08 |