NPI | 1720611833 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SC 1609) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 5867) |
Enumeration Date | 2020-02-17 |
Last Update Date | 2023-04-06 |