NPI | 1598902405 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 1093) |
Additional Taxonomies | 103T00000X Psychologist (Licence: LA 1093) |
Enumeration Date | 2009-01-14 |
Last Update Date | 2019-08-02 |