NPI | 1134140635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 048-0000574) |
Additional Taxonomies | 103T00000X Psychologist (Licence: VT 048-0000574) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2015-10-02 |