NPI | 1104914753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: KS 1044) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MO 2003023470) |
103TH0100X Psychologist, Health Service (Licence: MA 1783) | |
Enumeration Date | 2006-10-10 |
Last Update Date | 2007-07-08 |