NPI | 1265675557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging (Licence: DE HHAAO-017) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DE HHAAO-017) |
Enumeration Date | 2009-04-16 |
Last Update Date | 2009-04-16 |