NPI | 1295728277 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 769) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO PY01440) |
Enumeration Date | 2005-08-25 |
Last Update Date | 2010-01-04 |