NPI | 1184842775 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MO RO371) |
Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: MO RO371) |
Enumeration Date | 2007-04-22 |
Last Update Date | 2018-10-17 |