NPI | 1770845935 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MD 05586) |
Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSY1001243) |
103T00000X Psychologist (Licence: NY 024332) | |
Enumeration Date | 2012-06-13 |
Last Update Date | 2024-11-24 |