NPI | 1225383375 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361007506) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301015177) |
Enumeration Date | 2012-07-16 |
Last Update Date | 2021-04-30 |