NPI | 1164751087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY1429) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 6021) |
Enumeration Date | 2009-12-24 |
Last Update Date | 2022-08-02 |