NPI | 1316098528 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 7486) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY7486) |
Enumeration Date | 2007-01-15 |
Last Update Date | 2018-05-17 |