NPI | 1730923400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008473) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: LA 1676) |
Enumeration Date | 2024-06-19 |
Last Update Date | 2024-10-30 |