NPI | 1114139755 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 1472) |
Additional Taxonomies | 103TS0200X Psychologist, School |
Enumeration Date | 2007-05-04 |
Last Update Date | 2007-07-25 |