NPI | 1104973890 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: NC 2612) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NC 2612) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2019-09-11 |