NPI | 1366650798 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7334) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: FL PY 7334) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2007-12-26 |