NPI | 1821129396 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TS0200X Psychologist School (Licence: NM 248115) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NM 556) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2007-07-08 |