NPI | 1467909671 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
Additional Taxonomies | 103TH0004X Psychologist, Health |
Enumeration Date | 2016-09-06 |
Last Update Date | 2016-09-06 |