NPI | 1245668789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301018848) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00603500) |
103TC0700X Psychologist, Clinical (Licence: NY 022859-1) | |
Enumeration Date | 2013-10-18 |
Last Update Date | 2024-07-16 |