NPI | 1417044165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 002808) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CT 002808) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2018-03-17 |