NPI | 1750379996 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY4602) |
Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY4602) |
Enumeration Date | 2005-10-12 |
Last Update Date | 2007-07-08 |