NPI | 1356788905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI 1195) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 31115) |
Enumeration Date | 2013-05-22 |
Last Update Date | 2013-05-22 |