NPI | 1659792299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MT 1333) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MT 1333) |
Enumeration Date | 2013-12-29 |
Last Update Date | 2016-06-07 |