NPI | 1477869519 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: HI HI-1901) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: HI HI-1901) |
Enumeration Date | 2010-08-26 |
Last Update Date | 2024-10-29 |