NPI | 1780243899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 5789) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PR 5789) |
103TH0004X Psychologist, Health (Licence: PR 5789) | |
Enumeration Date | 2019-06-12 |
Last Update Date | 2024-01-12 |