NPI | 1710959101 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38305) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20041928A) |
Enumeration Date | 2006-02-01 |
Last Update Date | 2024-10-24 |