NPI | 1659801751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: DE 86156) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 2696901) |
Enumeration Date | 2017-06-13 |
Last Update Date | 2017-06-13 |