NPI | 1659333987 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL #906) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AL 906) |
Enumeration Date | 2006-04-03 |
Last Update Date | 2019-09-28 |