NPI | 1457786717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: TX 38786) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY29249) |
Enumeration Date | 2013-09-05 |
Last Update Date | 2024-09-27 |