NPI | 1235170796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810002873) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 3019) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2023-02-02 |