NPI | 1154408532 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: PR 2707) |
Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: PR 2707) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2007-07-08 |