NPI | 1154920429 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: ID 6261175) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6352000475) |
Enumeration Date | 2020-10-19 |
Last Update Date | 2024-08-22 |