NPI | 1447382627 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY0792) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 19544) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2018-03-20 |