NPI | 1780053314 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: OR 3292) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
103TC0700X Psychologist, Clinical (Licence: OR 3292) | |
Enumeration Date | 2015-09-24 |
Last Update Date | 2024-07-04 |