NPI | 1386072726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: KY PSYLIP00212075) |
Additional Taxonomies | 103T00000X Psychologist (Licence: TX 36293) |
Enumeration Date | 2013-10-22 |
Last Update Date | 2015-11-06 |