NPI | 1356448831 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3525) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071-007087) |
Enumeration Date | 2006-09-19 |
Last Update Date | 2019-09-26 |