NPI | 1821042185 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MA 8443) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NH 1120) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2017-02-10 |