NPI | 1609428168 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 5608) |
Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: NC 5608) |
Enumeration Date | 2019-07-15 |
Last Update Date | 2022-03-25 |