NPI | 1518363746 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: IA 098962) |
Additional Taxonomies | 103T00000X Psychologist (Licence: AL 1926) |
Enumeration Date | 2014-11-17 |
Last Update Date | 2020-04-06 |