NPI | 1164048989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 5863) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSYC.00014172) |
Enumeration Date | 2020-06-17 |
Last Update Date | 2022-09-07 |