NPI | 1497344360 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3658) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: SC 1566) |
Enumeration Date | 2021-01-14 |
Last Update Date | 2021-12-22 |