NPI | 1841452034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005044) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY12128) |
103TC0700X Psychologist, Clinical (Licence: NY 016821) | |
103TC0700X Psychologist, Clinical (Licence: CA PSY22852) | |
Enumeration Date | 2008-06-27 |
Last Update Date | 2024-10-15 |