NPI | 1750392031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: GA 001221) |
Additional Taxonomies | 103T00000X Psychologist (Licence: SC 649) |
103T00000X Psychologist (Licence: TN P0000001170) | |
Enumeration Date | 2006-08-11 |
Last Update Date | 2007-07-08 |