NPI | 1336226216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0000532) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS008703L) |
Enumeration Date | 2006-10-31 |
Last Update Date | 2017-03-07 |