NPI | 1255482634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 4425) |
Additional Taxonomies | 103T00000X Psychologist (Licence: OH 4425) |
Enumeration Date | 2007-01-14 |
Last Update Date | 2011-10-19 |