NPI | 1841422771 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810003511) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: VA 0803000089) |
Enumeration Date | 2009-08-11 |
Last Update Date | 2009-08-11 |