NPI | 1720039852 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS005721L) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS005721L) |
Enumeration Date | 2006-05-13 |
Last Update Date | 2007-07-08 |