NPI | 1275687139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 6555) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2007-07-08 |