NPI | 1134348907 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0000861) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 18059) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2010-10-18 |