NPI | 1396154316 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0004668) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA 28808) |
Enumeration Date | 2014-08-04 |
Last Update Date | 2018-01-15 |