NPI | 1215205877 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 9451) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 2887) |
Enumeration Date | 2011-12-09 |
Last Update Date | 2011-12-21 |