NPI | 1730483157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 9550) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MA 9550) |
Enumeration Date | 2010-12-28 |
Last Update Date | 2018-04-10 |