NPI | 1306943030 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MS 47 814) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: SC 730) |
Enumeration Date | 2006-09-17 |
Last Update Date | 2008-12-02 |