NPI | 1497345987 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: LA 1624) |
Additional Taxonomies | 103T00000X Psychologist (Licence: KS 02942-T) |
Enumeration Date | 2021-01-19 |
Last Update Date | 2023-08-09 |