NPI | 1245207406 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 1241) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 1241) |
Enumeration Date | 2006-03-07 |
Last Update Date | 2008-06-13 |