NPI | 1386633097 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MD 02938) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: MD 02938) |
Enumeration Date | 2005-10-14 |
Last Update Date | 2007-07-08 |