NPI | 1639443872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 1118) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 7418) |
Enumeration Date | 2012-03-06 |
Last Update Date | 2012-03-06 |