NPI | 1558414797 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 912) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 7751) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2011-01-14 |