NPI | 1437364296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 2535) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: NC 2535) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2007-07-08 |