NPI | 1376162214 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0011441) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810007634) |
Enumeration Date | 2020-04-10 |
Last Update Date | 2024-05-29 |