NPI | 1548428162 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3861) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 4291) |
Enumeration Date | 2008-05-30 |
Last Update Date | 2022-09-01 |