NPI | 1437624467 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6361007697) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301017622) |
103TC0700X Psychologist, Clinical (Licence: MI 6362000710) | |
103T00000X Psychologist | |
Enumeration Date | 2018-10-05 |
Last Update Date | 2023-01-11 |