NPI | 1497963458 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY8700) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NC 2569) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2015-04-04 |