NPI | 1205204526 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810007678) |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2015-09-02 |
Last Update Date | 2022-03-22 |