NPI | 1114087947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NE 1078) |
Additional Taxonomies | 103T00000X Psychologist (Licence: OR 469) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2023-12-12 |