NPI | 1730426768 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IA 000567) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IA 001153) |
Enumeration Date | 2013-01-10 |
Last Update Date | 2020-01-31 |