NPI | 1518986678 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2006016159) |
Additional Taxonomies | 103T00000X Psychologist (Licence: AZ 3808) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2020-10-21 |