NPI | 1598736506 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6168) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 1878) |
103TC0700X Psychologist, Clinical (Licence: CA PSY12850) | |
Enumeration Date | 2006-01-28 |
Last Update Date | 2014-09-08 |