NPI | 1659878411 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 002348) |
Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: CT 002348) |
Enumeration Date | 2018-04-09 |
Last Update Date | 2018-04-09 |