NPI | 1659555803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS016628) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: WA PY00003729) |
Enumeration Date | 2007-12-24 |
Last Update Date | 2011-10-14 |