NPI | 1184035495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: CO 4618) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NM 1426) |
Enumeration Date | 2014-05-08 |
Last Update Date | 2019-02-26 |