NPI | 1356680805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MD 02830) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MD 02830) |
Enumeration Date | 2013-02-04 |
Last Update Date | 2019-03-04 |