NPI | 1710210331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3645) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY0003645) |
103TC0700X Psychologist, Clinical (Licence: NM 1207) | |
Enumeration Date | 2009-09-15 |
Last Update Date | 2024-05-17 |