NPI | 1164550216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MA 7354) |
Additional Taxonomies | 103T00000X Psychologist (Licence: RI 568) |
Enumeration Date | 2007-03-01 |
Last Update Date | 2023-09-07 |