NPI | 1750435103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 524) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MS 407) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2009-03-26 |