NPI | 1245333566 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MA 8174) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: RI 700) |
Enumeration Date | 2006-09-06 |
Last Update Date | 2007-07-08 |