NPI | 1528654480 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0005969) |
Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSY1001477) |
103TC0700X Psychologist, Clinical (Licence: VA 0810006022) | |
Enumeration Date | 2020-12-15 |
Last Update Date | 2024-02-23 |