NPI | 1457355273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: MD 03722) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY11448) |
Enumeration Date | 2005-06-09 |
Last Update Date | 2022-06-22 |