NPI | 1831574946 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DE B10001036) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DE C100) |
Enumeration Date | 2015-07-30 |
Last Update Date | 2015-12-10 |