NPI | 1801972815 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MA 366) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MA 4456) |
Enumeration Date | 2006-10-31 |
Last Update Date | 2007-07-08 |