NPI | 1275011900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS019461) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 24930) |
Enumeration Date | 2018-08-03 |
Last Update Date | 2024-10-16 |