NPI | 1700810132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3162) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810003415) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2019-04-26 |