NPI | 1457415796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DE B10001031) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 2932) |
Enumeration Date | 2006-12-21 |
Last Update Date | 2016-03-17 |