NPI | 1184822207 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000454) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 015235-1) |
Enumeration Date | 2007-07-10 |
Last Update Date | 2008-09-24 |