NPI | 1255410171 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CO 2611) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 2611) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2015-06-08 |