NPI | 1811245277 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MS 50875) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 4243) |
Enumeration Date | 2012-08-16 |
Last Update Date | 2016-06-14 |