NPI | 1508191867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0003953) |
Additional Taxonomies | 103T00000X Psychologist (Licence: SC 1128) |
103T00000X Psychologist (Licence: TX 32942) | |
103TS0200X Psychologist, School (Licence: TX 33194) | |
Enumeration Date | 2009-10-05 |
Last Update Date | 2017-04-05 |