NPI | 1154378396 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 2880) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NC 2880) |
Enumeration Date | 2006-05-30 |
Last Update Date | 2016-08-03 |