NPI | 1316983380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS 006943 L) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 012038 1) |
103TC0700X Psychologist, Clinical (Licence: DE B10000498) | |
Enumeration Date | 2006-06-20 |
Last Update Date | 2023-12-06 |