NPI | 1427166628 |
---|---|
Doing Business As | |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: WI 53445-030) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WI 2380-057) |
Enumeration Date | 2006-08-28 |
Last Update Date | 2007-07-08 |