NPI | 1104955061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: RI PS00269) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: RI PS00269) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2007-07-09 |