NPI | 1780043307 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810007327) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC psy1001037) |
Enumeration Date | 2016-02-11 |
Last Update Date | 2024-04-19 |