NPI | 1548375496 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS006289L) |
Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: PA PS006289L) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2018-06-15 |