NPI | 1720383193 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0000863) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS016339) |
Enumeration Date | 2011-01-17 |
Last Update Date | 2011-01-17 |