NPI | 1144205741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MA 4956) |
Additional Taxonomies | 103T00000X Psychologist (Licence: SC 987) |
Enumeration Date | 2005-12-07 |
Last Update Date | 2010-10-22 |