NPI | 1184714750 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AR 97-09P) |
Additional Taxonomies | 103T00000X Psychologist (Licence: AR 97-9P) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2021-10-22 |