NPI | 1578028817 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MD 05983) |
Additional Taxonomies | 103T00000X Psychologist (Licence: DC 1001362) |
103TS0200X Psychologist, School (Licence: NJ 944467) | |
Enumeration Date | 2019-01-31 |
Last Update Date | 2019-01-31 |