NPI | 1619248424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY8352) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY8352) |
Enumeration Date | 2012-01-25 |
Last Update Date | 2017-04-06 |