NPI | 1841500394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4999) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NE 907) |
Enumeration Date | 2010-10-18 |
Last Update Date | 2020-05-07 |