NPI | 1669503611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: DC LC50077759) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MD 12211) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2007-07-08 |