NPI | 1265590178 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MD 10336) |
Additional Taxonomies | 103T00000X Psychologist (Licence: DC LC302158) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2023-09-07 |