NPI | 1467185058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3830) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: LA 1197) |
Enumeration Date | 2022-07-01 |
Last Update Date | 2022-07-01 |