NPI | 1508817743 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NH 1633) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WI 3303) |
103TC0700X Psychologist Clinical (Licence: WI 3303) | |
103TC0700X Psychologist Clinical (Licence: VT 0480000783) | |
Enumeration Date | 2006-05-12 |
Last Update Date | 2023-01-13 |