NPI | 1508807835 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: WV 439) |
Additional Taxonomies | 103T00000X Psychologist (Licence: KY 41) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2014-10-14 |