NPI | 1720397417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MS 36-608) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN P0000002293) |
Enumeration Date | 2010-09-29 |
Last Update Date | 2010-09-29 |