NPI | 1326137993 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DE B100000897) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS004522L) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2012-12-11 |