NPI | 1285006932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY0923) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN 3306) |
Enumeration Date | 2015-10-21 |
Last Update Date | 2019-12-03 |