NPI | 1457953200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY10043) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071009690) |
Enumeration Date | 2020-11-16 |
Last Update Date | 2020-11-16 |