NPI | 1326151911 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 1937) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071-006233) |
Enumeration Date | 2006-08-16 |
Last Update Date | 2007-07-08 |