NPI | 1376565705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 1042-33) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WI 1042-33) |
103T00000X Psychologist | |
Enumeration Date | 2006-07-24 |
Last Update Date | 2014-11-18 |