NPI | 1548417389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2745-057) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WI 2745-057) |
Enumeration Date | 2008-08-23 |
Last Update Date | 2008-08-23 |