NPI | 1740382282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY0005653) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY5653) |
Enumeration Date | 2006-09-04 |
Last Update Date | 2024-10-20 |