NPI | 1356698641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PR 4258) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: PR 4258) |
Enumeration Date | 2012-08-06 |
Last Update Date | 2012-08-06 |