NPI | 1285773242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MD 01269) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 01269) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2007-07-08 |