NPI | 1386955847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS016694) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY6494) |
Enumeration Date | 2010-06-29 |
Last Update Date | 2010-06-29 |