NPI | 1346310356 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2003030101) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 1248) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2024-07-08 |