NPI | 1437477304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36035) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA psy23302) |
Enumeration Date | 2010-05-17 |
Last Update Date | 2015-03-12 |