NPI | 1417251463 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY8203) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 4958) |
Enumeration Date | 2011-01-05 |
Last Update Date | 2022-08-25 |