NPI | 1639239544 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: WI 3331-57) |
Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: IN 20040919A) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2017-05-04 |