NPI | 1497172704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VT 48.011981) |
Enumeration Date | 2014-03-25 |
Last Update Date | 2023-01-27 |