NPI | 1700860525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MA 6181) |
Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MA 137539) |
Enumeration Date | 2005-12-05 |
Last Update Date | 2007-07-08 |