NPI | 1609836329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CO 1566) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 1566) |
Enumeration Date | 2006-03-25 |
Last Update Date | 2007-08-08 |