NPI | 1356537609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6787) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 4822) |
Enumeration Date | 2007-09-20 |
Last Update Date | 2016-10-17 |