NPI | 1629377312 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: TX 34498) |
Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX 34498) |
Enumeration Date | 2011-03-21 |
Last Update Date | 2016-10-07 |