NPI | 1467724203 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 9396) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY7288) |
Enumeration Date | 2012-02-08 |
Last Update Date | 2012-02-08 |