NPI | 1568658268 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: TN 2795) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TN 2795) |
Enumeration Date | 2007-09-18 |
Last Update Date | 2012-09-27 |