NPI | 1225189699 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 8001) |
Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: MA 8001) |
103T00000X Psychologist (Licence: MA 8001) | |
Enumeration Date | 2007-01-14 |
Last Update Date | 2007-07-08 |