NPI | 1316256175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MD 04583) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NC 3640) |
103TC1900X Psychologist, Counseling (Licence: MD 04583) | |
Enumeration Date | 2010-09-28 |
Last Update Date | 2010-09-28 |