NPI | 1124459367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2548) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OR 2548) |
Enumeration Date | 2013-12-12 |
Last Update Date | 2015-10-19 |