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 |