NPI | 1740813500 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC PP5378) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 014934-1) |
103TC0700X Psychologist, Clinical (Licence: FL PY10042) | |
103TC0700X Psychologist, Clinical (Licence: HI PSY1720) | |
103TC0700X Psychologist, Clinical (Licence: CO PSY0005065) | |
Enumeration Date | 2020-02-19 |
Last Update Date | 2020-02-19 |