NPI | 1508032095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 9560) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 002770) |
Enumeration Date | 2008-05-05 |
Last Update Date | 2024-01-09 |