NPI | 1811139785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MN 6069) |
Additional Taxonomies | 103T00000X Psychologist (Licence: KS 972) |
Enumeration Date | 2009-03-24 |
Last Update Date | 2020-12-21 |