NPI | 1447307715 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 3397) |
Additional Taxonomies | 103T00000X Psychologist (Licence: OR 1004) |
103T00000X Psychologist (Licence: CA 15415) | |
Enumeration Date | 2007-01-05 |
Last Update Date | 2022-02-16 |