NPI | 1124460290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DE B10000965) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DC PSY1000849) |
Enumeration Date | 2013-07-18 |
Last Update Date | 2014-08-11 |