NPI | 1275079543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: KS LP03336) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 5095-57) |
Enumeration Date | 2017-01-11 |
Last Update Date | 2024-06-18 |