NPI | 1316355845 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NM 1331) |
Additional Taxonomies | 103T00000X Psychologist (Licence: OH P.07730) |
103TC0700X Psychologist, Clinical (Licence: IN 20042718B) | |
103TC0700X Psychologist, Clinical (Licence: IN 20042718A) | |
Enumeration Date | 2014-07-28 |
Last Update Date | 2024-06-14 |