NPI | 1184134785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SC 1774) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 32533) |
Enumeration Date | 2017-10-09 |
Last Update Date | 2024-11-15 |