NPI | 1568909851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: VT 048.0059118) |
Additional Taxonomies | 103T00000X Psychologist (Licence: ME PS1469) |
Enumeration Date | 2017-01-24 |
Last Update Date | 2021-02-11 |