NPI | 1558490375 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 04008) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000245) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2015-04-23 |