NPI | 1558500496 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 33884) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.007469) |
Enumeration Date | 2009-02-17 |
Last Update Date | 2009-02-17 |