NPI | 1780720938 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY9860) |
Additional Taxonomies | 103T00000X Psychologist (Licence: RI 505) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2018-03-17 |