NPI | 1427281898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: IA 001112) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IA 001112) |
Enumeration Date | 2009-09-01 |
Last Update Date | 2010-02-09 |