NPI | 1578227047 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39060) |
Additional Taxonomies | 103T00000X Psychologist (Licence: TX 39060) |
Enumeration Date | 2021-10-29 |
Last Update Date | 2021-10-29 |