NPI | 1104901511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3285) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NC 3285) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2024-09-30 |