NPI | 1497429013 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 06587) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: MD 06587) |
Enumeration Date | 2021-08-06 |
Last Update Date | 2021-08-06 |