NPI | 1215422365 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361007703) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301017462) |
103T00000X Psychologist | |
Enumeration Date | 2018-06-29 |
Last Update Date | 2022-09-02 |