NPI | 1750572798 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH 6382) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2011-07-06 |