NPI | 1568563161 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 08100001917) |
Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation |
Enumeration Date | 2006-09-26 |
Last Update Date | 2008-03-18 |