NPI | 1144558016 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 04659) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000556) |
Enumeration Date | 2009-12-03 |
Last Update Date | 2018-06-15 |