NPI | 1801107586 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.007899) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20042386A) |
Enumeration Date | 2010-06-28 |
Last Update Date | 2010-06-28 |