NPI | 1437469574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006310) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071-009120) |
103TC0700X Psychologist, Clinical (Licence: TX 38612) | |
Enumeration Date | 2010-10-07 |
Last Update Date | 2024-04-11 |