NPI | 1699887067 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: VA 0810003194) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MD 02185) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-07-08 |