NPI | 1760440952 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 6253) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810002952) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2024-07-11 |