NPI | 1821172115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AR 0511P) |
Additional Taxonomies | 103T00000X Psychologist (Licence: AR 0511P) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2016-12-08 |