NPI | 1225359201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 9700) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2010-06-14 |
Last Update Date | 2018-03-01 |