NPI | 1619176856 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 6653) |
Additional Taxonomies | 103T00000X Psychologist (Licence: SC 1232) |
Enumeration Date | 2007-07-17 |
Last Update Date | 2024-11-22 |