NPI | 1497761662 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: DE B1-0000579) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: DE B1-0000579) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2007-08-08 |