NPI | 1689802456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MD 05301) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: LA 1104) |
Enumeration Date | 2009-06-30 |
Last Update Date | 2013-12-11 |