NPI | 1568730562 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 3992) |
Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810004427) |
Enumeration Date | 2011-12-05 |
Last Update Date | 2011-12-05 |