NPI | 1457331407 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: PA 6580607) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NC 2294) |
103T00000X Psychologist (Licence: CO 3212) | |
103TS0200X Psychologist, School (Licence: CO 49984) | |
Enumeration Date | 2006-01-18 |
Last Update Date | 2014-10-21 |