NPI | 1447500087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 4564) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC not issued yet) |
Enumeration Date | 2012-09-11 |
Last Update Date | 2022-07-23 |