NPI | 1427162007 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 1825) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NH 643) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2016-06-24 |