NPI | 1316087950 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 002140) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CT 002140) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2011-07-22 |