NPI | 1487099198 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005636) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 05280) |
Enumeration Date | 2013-05-08 |
Last Update Date | 2022-03-24 |