NPI | 1760633119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 2843) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 11032) |
Enumeration Date | 2008-10-03 |
Last Update Date | 2022-03-07 |