NPI | 1487157921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS019764) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00650500) |
103T00000X Psychologist (Licence: GA PSY004460) | |
Enumeration Date | 2018-03-12 |
Last Update Date | 2023-06-30 |