NPI | 1295132843 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810006643) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1001526) |
Enumeration Date | 2014-11-25 |
Last Update Date | 2023-03-20 |