NPI | 1760704738 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 1356) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.007783) |
Enumeration Date | 2010-02-18 |
Last Update Date | 2017-05-16 |