NPI | 1154453231 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6891) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 3681) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2019-10-11 |