NPI | 1740420405 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY10546) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 3239) |
Enumeration Date | 2009-02-20 |
Last Update Date | 2024-03-12 |