NPI | 1518087691 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810-02442) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0812-002442) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2024-02-06 |